My son is also 14 years old and has had IBS since he was in fourth grade and caught giardia and camphylobacter. He also has GERD. His symptoms are remarkably like your son�s, even the times of day that are the problems (morning and evening) He has a pediatric gastroenterologist who believes in prescribing medication to kids. Some doctors will not, and your son�s may be one of those. The only things that have helped are drugs and dietary changes. Right now, he takes Levsin for painful spasms and Elavil at bedtime for pain. He also takes Culturelle, at his doctor�s suggestion, and stool softeners to counteract any constipation form the Levsin. He cannot eat any dairy products, beef, fatty foods, spicy foods, and we are checking to see if he has a fructose intolerance, as well. My daughter, who is now 18, had IBS from the time she was 8 until she was 13, also brought on by giardia and a Blastocystitis hominis infection. Note: all these wonderful parasitic infections were caught from drinking well water at my in-laws farm. NEVER drink well water!! I don�t know if she is �cured�, but she rarely has any problems now. What was the miracle for her was, again, Elavil. She took it for about 6 months, stopped, and has been just about normal since then. She just has to watch greasy food. Because of her miracle �cure�, I hope that my son will see substantial improvement someday.My heart goes out to you. This has truly been the most difficult thing that I have gone through as a parent. Please try to find a doctor who will prescribe appropriate medications for your son. Track everything that he eats and drinks and look for patterns. And be endlessly patient and loving. If this is hell for us as parents, it is a million times worse for our boys, who want nothing more than to be normal kids.Missing school is a problem for us as well, especially as my son just had a bad flare-up. I will not send him to school in pain. We get his homework and I teach him at home if he can�t make it to school. He got straight As last report period, despite missing 15 days of school in that nine week period. He's probably missed 40 days so far this year. I see myself as my son�s advocate with the school. Talk to someone there, preferably the nurse, who understands about IBS and can be a liaison with the school for your son. Good luck. There is hope that things will get better.